Question of the Week | Fixing the Lows, Sept 22, 2020

AR is a 39-year-old on an insulin pump and CGM. AR’s basal rates are:

  • 1.7 units from 10 pm to 6 am and
  • 1.6 units from 6 am to 10 pm.

AR’s insulin to carb ratio is 1:15 and the correction is 1:50 with a blood sugar target of 100-120.

When looking at AR’s report, they are bolusing for meals at 7 am, 12 pm, and 7 pm. AR is experiencing blood sugars of 60 -70 around 10 am and 3 pm every day.

Based on this data, what is the best recommendation?

  1. Adjust the 6 am to 10 pm basal rate.
  2. Encourage a 15 gm snack at 9:30 am and 2:30 pm.
  3. Make adjustments to the insulin to carb ratio.
  4. Recalculate the correction bolus ratio.

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Our Summer 2020 Boot Camp – Session 2 – Standards of Care webinar airs tomorrow September 23rd!

In each webinar, either Coach Beverly, Dr. Isaacs, or Ms. Armstrong, highlight the critical content of each topic area, so you can focus your study time most efficiently. They also launch multiple poll questions to help participants focus on key concepts and assess their knowledge while learning the best test-taking strategies. 

2020 Boot Camp Live Stream Webinar Schedule with Coach Beverly

All courses air at 11:30 a.m. (PST)

  1. Diabetes – Not Just Hyperglycemia | Recorded & Ready for Viewing.
  2. ADA Standards of Care | Sept 23
  3. Insulin Therapy – From Basal/Bolus to Pattern Management | Sept 30
  4. Insulin Intensive – Monitoring, Sick Days, Lower Extremities | Oct 7
  5. Meds for Type 2 | Oct 14
  6. Exercise and Preventing Microvascular Complications | Oct 21
  7. Coping & Behavior Change | Oct 28
  8. “The Big Finish” Test Taking Boot Camp | Nov 4

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